Doctor Name: | ANGELA HAGE |
NPI Number: | 1306150305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 070-017957 |
Business Practice Address: | 17837 80th Ave Tinley Park, IL - 604775023 |
Business Phone Number: | 7083422500 |
Business Fax Number: | 7083421454 |
Mailing Address: | 17837 80th Ave, TINLEY PARK |
State: | IL |
Postal Code: | 604775023 |
Phone Number: | 7083422500 |
Fax Number: | 7083421454 |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-017957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |